Presents the rationale for conducting controlled trials of counseling in primary care and suggests that a systematic review of controlled trials of counseling in primary care is timely. Discusses one such review in which patients who received counseling care showed a modest improvement in levels compared with those who received general practice…

The following British case study illustrates how a group of Primary Health Care Trusts expanded partnerships with a university to support the development of 12 new advanced primary nurses (APNs). The cohort of APNs were undertaking new roles and were part of the national pilot of the Department of Health adapted Evercare programme for the "at…

Presents a brief history of the growth of counseling in primary care. Discusses the challenges for primary care counselors and counseling, as well as the need for coordination, regulation and management. Also discusses the imperative for research support and the unique nature of counseling in primary care including challenges to its survival. (MKA)

Presents an overview of the changes in the structures of the new National Health Service in England, Scotland, and Wales and discusses the effects these changes will have on counselors working in primary care. Addresses the issue of supervision. Discusses the requirements of clinical governance and the necessity of appropriate audit and evaluation…

Addresses the challenge of meeting the requirements of the United Kingdom's new National Health Service in primary care, while at the same time protecting conditions for counseling as a creative rather than a mechanical process. The profession of counseling and psychotherapy in primary care needs to rapidly find its place within the new…

Decribes the level of mental health problems that are encountered in primary health care and describes the limitation of using randomized control trials. A three-stage model of psychological therapies research is described to show that distinct stages require different methodologies in order to evaluate them. Reviews the literature regarding…

A survey of 427 British nursing students found that all had been exposed to primary health care (PHC) concepts; most had positive attitudes about PHC; and differences in knowledge appeared among degree, health visitor, and district nursing students. (SK)

Counseling in primary care can be considered a fast-evolving profession that is distinct from counseling in the private sector. Differences in counselor roles, specifically confidentiality ethics and working hours, are discussed. Referrals and attrition are also discussed. The distinctiveness of primary care counseling versus working in more…

Purpose: The purpose of this study was to assess whether there is an enduring gender difference in the ability of self-rated health to predict mortality and investigate whether self-reported physical health problems account for this difference. Design and Methods: Cox models for 4-year survival were fitted to data from successive cohorts aged…

Interviews with 16 primary care practitioners and administrators were compared with those of 12 adult patients with limited English proficiency. Practitioners described skills and attitudes needed to communicate with these patients; solutions tended to be improvised. There were discrepancies between practitioners' and patients' descriptions of…

Results of a survey of nursing students and qualified nurses in the United Kingdom indicate that nurses tend not to be readers and that they consult colleagues and personal collections for information concerning patient care and for personal use. Findings show that nurses use libraries infrequently except for research and coursework. (12…

The report presents the proceedings of a 1986 World Health Organization meeting on multiprofessional training programmes (emphasizing an interdisciplinary team approach) for health personnel in Europe. Presented first is an overview of the topic which covers: (1) purposes and definition of multiprofessional education; (2) current trends and…

Discusses the effects of trends in health care services, including an emphasis on primary health care and patient involvement, on the information needs of health care professionals and managers. A proposed information network that would provide point of use access to sources of health care information is described. (three references) (CLB)

The history, status, problems, and prospects of postgraduate medical training for primary care practice in the United Kingdom are reviewed in order to provide insight for American medical educators. The British emphasis on hospital-based training is questioned, but is seen as less of a problem for Americans. (Author/JMD)

Health promotion redirects thinking about health by: reasserting its social and political aspects; ensuring the people the power to define their own health concerns; and placing health more clearly in the context of other aims in life. This compilation of 41 articles in 8 sections attempts to document this process of redirection of thought. The…